Have you ever attemped a trigger point injection to improve your patient's musculoskeletal pain? Did it help? This week for his Critically Appraised Topic, Dr. John Cafaro investigated some of the literature on the effectiveness of trigger point injections for patients suffering from musculoskeletal pain.
Do you routinely recommend rest for your post-concussive pediatric patient? You may reconsider this adivce. This week Dr. Lou Argentine reviewed this clincal question for his critically appraised topic.
Have you cared for a paient dying from traumatic hemorrhagic shock despite maximum resucitation efforts? Dr. Zaffer Qasim from Christiana Care and @emmeddoc joined us for an outstanding talk on the use of REBOA in this patient population.
How should we manage a suspected line infection in a dialysis patient? This week our great nephrology team provided us pearls regarding catheter related bloodstream infections in addition to other valuable renal associated tips.
Are you unsure if you can use D-dimer testing to aid in the diagnositic evaluation for DVT/PE in the pregnant patient? This week's Critically Appraised Topic in conference discusses the use of trimester-specific D-dimer threshold testing in pregnant patients.
Snow day for the Cooper EM Residents! Instead of today's conference pearls we finish out our trauma/orthopedic module from January with a high yield summary of clinically useful hand pearls from our awesome new hand surgeon Dr. Nicole Jarrett's lecture!
What's with the empty conference room? This week the Cooper EM Residents attended Resident Wellness Conference in Philadelphia, so today's content is from a lecture from November's module "Acute Signs and Symptoms" Enjoy!
Your patient in the Emergency Department has a Zone II or Zone III finger amputation which requires primary closure of the wound prior to discharge with appropriate outpatient follow up. However, a protruding piece of bone often prevents closure of the skin flap and requires trimming by using a rongeur. While this process is typically carried out by an orthopedic or hand surgical consultant, this post aims to introduce the use of a ronguer during management of finger amputation in the Emergency Department.